Organization
NOVA EYE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. GARDNER O.D. (OWNER)
(708) 598-1322
Entity
Organization
Contact information
Practice address
931 W 75TH ST, NAPERVILLE, IL 60565-1294
(630) 357-6662
(630) 357-6687
Mailing address
931 W 75TH ST, NAPERVILLE, IL 60565-1294
(630) 357-6662
(630) 357-6687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006455
IL
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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